Demographic Characteristics, Stress and Emotion Regulation in the Caregivers of Elderly Hemodialysis Patients

Main Article Content

Bushra Nasim
Sania Kausar
Sana Zaheer
Amna Bashir
Sadia Fareed

Abstract

Background: Caregiving for elderly hemodialysis patients is a complex, multifaceted experience that demands considerable emotional and physical resources. The role of caregivers, predominantly female, involves managing the stress and emotional turmoil associated with the patient's chronic illness, which significantly impacts their well-being. Understanding the dynamics of caregiving is essential for developing supportive interventions that enhance caregiver and patient outcomes.


Objective: This study aimed to explore the relationship between demographic characteristics, stress, and emotion regulation in caregivers of elderly hemodialysis patients. It sought to identify key factors that contribute to caregiver stress and to evaluate how prolonged caregiving affects caregivers' ability to regulate emotions.


Methods: Employing a correlational research design, the study analyzed data from 60 caregivers of elderly hemodialysis patients. Pearson Product Moment Correlation was used to examine the relationships among variables, while demographic characteristics were assessed through descriptive statistics. The Kingston Caregiver Stress Scale (KCSS) and the Emotion Regulation Questionnaire (ERQ) were administered to evaluate stress levels and emotion regulation capabilities, respectively.


Results: The majority of caregivers were women (62%), with a significant proportion married (68%) and primarily in the age range of 35-50 years. A strong negative correlation was found between the duration of caregiving and KCSS total scores (r = -0.872, p < .001), indicating higher stress levels associated with longer caregiving durations. Conversely, a positive correlation was observed between the duration of caregiving and ERQ total scores (r = 0.380, p = .003), suggesting improved emotion regulation over time. The study also noted no significant relationship between family system types and stress levels.


Conclusion: The study highlights the significant impact of caregiving on stress and emotion regulation among caregivers of elderly hemodialysis patients. It underscores the need for comprehensive support systems that address both the informational and emotional needs of caregivers, thereby enhancing their coping mechanisms and overall well-being.

Article Details

How to Cite
Nasim, B., Kausar, S., Zaheer, S., Bashir, A., & Fareed, S. (2024). Demographic Characteristics, Stress and Emotion Regulation in the Caregivers of Elderly Hemodialysis Patients. Journal of Health and Rehabilitation Research, 4(1), 1055–1061. https://doi.org/10.61919/jhrr.v4i1.511
Section
Articles
Author Biographies

Bushra Nasim, University of Management & Technology Lahore Pakistan.

Lecturer at Department of Clinical Psychology, School of Professional Psychology, University of Management and Technology, Lahore, Pakistan.

Sania Kausar, University of Management & Technology Lahore Pakistan.

Lecturer at Department of Clinical Psychology, School of Professional Psychology, University of Management and Technology, Lahore, Pakistan.

Sana Zaheer, University of Management & Technology Lahore Pakistan.

Lecturer at Department of Clinical Psychology, School of Professional Psychology, University of Management and Technology, Lahore, Pakistan.

Amna Bashir, University of the Punjab Lahore Pakistan.

Clinical Psychologist at Shadab Institute, Lahore. Ph.D. Scholar at Institute of Applied Psychology, University of the Punjab, New campus, Lahore, Pakistan.

Sadia Fareed, University of the Punjab Lahore Pakistan.

Institute of Applied Psychology, University of the Punjab, New campus, Lahore, Pakistan.

References

Supriyadi R, Yanto TA, Hariyanto TI, Suastika K. Utility of non-invasive liver fibrosis markers to predict the incidence of chronic kidney disease (CKD): A systematic review, meta-analysis, and meta-regression. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2023:102814.

Al Naamani Z, Gormley K, Noble H, Santin O, Al Maqbali M. Fatigue, anxiety, depression and sleep quality in patients undergoing haemodialysis. BMC nephrology. 2021;22(1):157.

Al-Jabi SW, Sous A, Jorf F, Taqatqa M, Allan M, Sawalha L, et al. Depression among end-stage renal disease patients undergoing hemodialysis: a cross-sectional study from Palestine. Renal Replacement Therapy. 2021;7(1):1-11.

Al-Ali F, Elshirbeny M, Hamad A, Kaddourah A, Ghonimi T, Ibrahim R, et al. Prevalence of depression and sleep disorders in patients on dialysis: a cross-sectional study in Qatar. International Journal of Nephrology. 2021;2021:1-7.

Hayat M, Ahmad N, Mohkumuddin S, Ali Khan SL, Khan AH, Haq NU, et al. Frequency, types and predictors of drug therapy problems among non-dialysis chronic kidney disease patients at a tertiary care hospital in Pakistan. PloS one. 2023;18(4):e0284439.

Mullis MD, Fisher CL, Kastrinos AL, Sae-Hau M, Weiss ES, Rajotte M, et al. Survivorship transitions in blood cancer: Identifying experiences and supportive care needs for caregivers. Journal of Cancer Survivorship. 2023:1-11.

Al-Shammari N, Al-Modahka A, Al-Ansari E, Al-Kandari M, Ibrahim KA, Al-Sanea J, et al. Prevalence of depression, anxiety, and their associations among end-stage renal disease patients on maintenance hemodialysis: a multi-center population-based study. Psychology, health & medicine. 2021;26(9):1134-42.

Alshraifeen A, Alnuaimi K, Al-Rawashdeh S, Ashour A, Al-Ghabeesh S, Al-Smadi A. Spirituality, anxiety and depression among people receiving hemodialysis treatment in Jordan: A cross-sectional study. Journal of religion and health. 2020;59:2414-29.

Daniel SC, Azuero A, Gutierrez OM, Heaton K. Examining the relationship between nutrition, quality of life, and depression in hemodialysis patients. Quality of Life Research. 2021;30:759-68.

Anees M, Barki H, Masood M, Ibrahim M, Mumtaz A. Depression in hemodialysis patients. Pak J Med Sci. 2008;24(4):560-5.

Avdal EU, Ayvaz İ, Uran BNÖ, Yildirim JG, Sofulu F, Pamuk G. Opinions of hemodialysis and peritoneum patients regarding depression and psychological problems which they experience: A qualitative study. Journal of infection and public health. 2020;13(12):1988-92.

Delgado-Domínguez CJ, Sanz-Gómez S, López-Herradón A, Díaz Espejo B, Lamas González O, de Los Santos Roig M, et al. Influence of depression and anxiety on hemodialysis patients: the value of multidisciplinary care. International journal of environmental research and public health. 2021;18(7):3544.

Durmuş M, Ekinci M. The effect of spiritual care on anxiety and depression level in patients receiving hemodialysis treatment: A randomized controlled trial. Journal of religion and health. 2022;61(3):2041-55.

Eftekhari A, Zoellner LA, Vigil SA. Patterns of emotion regulation and psychopathology. Anxiety, Stress, & Coping. 2009;22(5):571-86.

Eroglu H, Metin ZG. Benson relaxation technique combined with music therapy for fatigue, anxiety, and depression in Hemodialysis patients: A randomized controlled trial. Holistic nursing practice. 2022;36(3):139-48.

Gadia P, Awasthi A, Jain S, Koolwal GD. Depression and anxiety in patients of chronic kidney disease undergoing haemodialysis: A study from western Rajasthan. Journal of Family Medicine and Primary Care. 2020;9(8):4282.

Gonyea JG, Paris R, de Saxe Zerden L. Adult daughters and aging mothers: The role of guilt in the experience of caregiver burden. Aging and Mental Health. 2008;12(5):559-67.

Haghighat N, Rajabi S, Mohammadshahi M. Effect of synbiotic and probiotic supplementation on serum brain-derived neurotrophic factor level, depression and anxiety symptoms in hemodialysis patients: a randomized, double-blinded, clinical trial. Nutritional neuroscience. 2021;24(6):490-9.

Işık Ulusoy S, Kal Ö. Relationship among coping strategies, quality of life, and anxiety and depressive disorders in hemodialysis patients. Therapeutic Apheresis and Dialysis. 2020;24(2):189-96.

Jeon HO, Kim J, Kim O. Factors affecting depressive symptoms in employed hemodialysis patients with chronic renal failure. Psychology, health & medicine. 2020;25(8):940-9.

Khalil AA, Khalifeh AH, Al-Rawashdeh S, Darawad M, Abed M. Depressive symptoms, anxiety, and quality of life in hemodialysis patients and their caregivers: a dyadic analysis. Jpn Psychol Res. 2021;53(1).

Kim DH, Park JI, Lee JP, Kim Y-L, Kang S-W, Yang CW, et al. The effects of vascular access types on the survival and quality of life and depression in the incident hemodialysis patients. Renal failure. 2020;42(1):30-9.

Lin C-H, Hsu Y-J, Hsu P-H, Lee Y-L, Lin C-H, Lee M-S, et al. Effects of intradialytic exercise on dialytic parameters, health-related quality of life, and depression status in hemodialysis patients: a randomized controlled trial. International journal of environmental research and public health. 2021;18(17):9205.

Ling C, Evans D, Zhang Y, Luo J, Hu Y, Ouyang Y, et al. The effects of cognitive behavioural therapy on depression and quality of life in patients with maintenance haemodialysis: a systematic review. BMC psychiatry. 2020;20(1):1-14.

Marthoenis M, Syukri M, Abdullah A, Tandi TMR, Putra N, Laura H, et al. Quality of life, depression, and anxiety of patients undergoing hemodialysis: Significant role of acceptance of the illness. The International Journal of Psychiatry in Medicine. 2021;56(1):40-50.

Mollaoğlu M, Kayataş M, Yürügen B. Effects on caregiver burden of education related to home care in patients undergoing hemodialysis. Hemodialysis International. 2013;17(3):413-20.

Pretto CR, Rosa MBCd, Dezordi CM, Benetti SAW, Colet CdF, Stumm EMF. Depression and chronic renal patients on hemodialysis: associated factors. Revista Brasileira de Enfermagem. 2020;73.

Nadort E, Schouten RW, Witte SH, Broekman BF, Honig A, Siegert CE, et al. Treatment of current depressive symptoms in dialysis patients: a systematic review and meta-analysis. General Hospital Psychiatry. 2020;67:26-34.

Qureshi AR, Khan MT, Durrani N, Ahmed J, Ahmed S. Frequency, Factors and Pattern of Delayed Presentation for Dialysis in Advanced Kidney Disease Patients Visiting Tertiary Care Hospital. Age (in years). 2021;40:29.75-53.

Freeman RE, Harrison JS, Wicks AC, Parmar BL, de Colle S. The problems that stakeholder theory tries to solve. R Edward Freeman’s Selected Works on Stakeholder Theory and Business Ethics: Springer; 2023. p. 3-27.

González LMP, del Pilar Ureña M, Andrade D, Vergara-Escobar OJ, Palacios C, Camargo-Figuera FA. Validation of an instrument to measure knowledge, attitudes and skills towards Evidence-Based Practice in nursing students in Colombia. Nurse Education in Practice. 2024;76:103904.

Maletsky KD, Worsley D, Tran Lopez K, Del Valle Mojica C, Ortiz P, Bonafide CP, et al. Communication experiences of caregivers using a language other than English on inpatient services. Hospital Pediatrics. 2023;13(6):471-9.

Shokrpour N, Sheidaie S, Amirkhani M, Bazrafkan L, Modreki A. Effect of positive thinking training on stress, anxiety, depression, and quality of life among hemodialysis patients: A randomized controlled clinical trial. Journal of education and health promotion. 2021;10(1):225.

Khan M. Academic self-efficacy, coping, and academic performance in college. International Journal of undergraduate research and creative activities. 2023;5(1):3.

Akhtar N, Francis LJ, Village A, Sailer AB, Hasan SS, McKenna U. Testing the Moral Foundations Questionnaire within a Muslim society: a study among young adults in Pakistan. Journal of Religious Education. 2023;71(1):1-18.

Shukri M, Mustofai MA, Md Yasin MAS, Tuan Hadi TS. Burden, quality of life, anxiety, and depressive symptoms among caregivers of hemodialysis patients: The role of social support. The International Journal of Psychiatry in Medicine. 2020;55(6):397-407.

Yuenyongchaiwat K, Jongritthiporn S, Somsamarn K, Sukkho O, Pairojkittrakul S, Traitanon O. Depression and low physical activity are related to sarcopenia in hemodialysis: a single-center study. PeerJ. 2021;9:e11695.

Zegarow P, Manczak M, Rysz J, Olszewski R. The influence of cognitive-behavioral therapy on depression in dialysis patients–meta-analysis. Archives of Medical Science. 2020;15(1).

Alemdar DK, Yilmaz G, Günaydin N. The spiritual and religious coping of mothers with disabled children in Turkey: Correlation between stress coping styles and self-efficacy. Journal of religion and health. 2023;62(2):888-905.

Alinajimi F, Deldar Z, Dehghani M, Khatibi A. Emotion regulation mediates the relationship between family caregivers’ pain-related beliefs and patients’ coping strategies. Frontiers in Behavioral Neuroscience. 2023;17:983350.

Tran E, Karadjian O, Chan CT, Trinh E. Home hemodialysis technique survival: insights and challenges. BMC nephrology. 2023;24(1):205.